Substance Use Disorder Treatment Services
| Agency: | Lake County |
|---|---|
| State: | California |
| Type of Government: | State & Local |
| NAICS Category: |
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| Posted Date: | Apr 3, 2024 |
| Due Date: | Apr 30, 2024 |
| Bid Source: | Please Login to View Page |
| Contact information: | Please Login to View Page |
| Bid Documents: | Please Login to View Page |
| Bid Number: |
RFP 24-27
|
| Bid Title: |
Substance Use Disorder Treatment Services
|
| Category: | County General |
| Status: | Open |
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Attachment Preview
LAKE COUNTY BEHAVIORAL HEALTH SERVICES DEPARTMENT
REQUEST FOR PROPOSALS 24-27
Substance Use Disorder Treatment Services
COUNTY OF LAKE
Issued: April 1, 2024
Submission Deadline: April 30, 2024, at 5:00 P.M.
Substance Use Disorder Treatment Services
1. INTRODUCTION................................................................................................................... 3
2. SCOPE OF SERVICES ............................................................................................................ 3
3. COMPENSATION ............................................................................................................... 11
4. PROPOSAL CONTENT ........................................................................................................ 11
5. PROPOSAL SUBMITTAL ........................................................................................................... 11
6. PROPOSAL EVALUATION AND AWARD .................................................................................. 12
7. PROTEST PROCEDURES ........................................................................................................... 12
8. GENERAL TERMS AND CONDITIONS.......................................................................................13
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Substance Use Disorder Treatment Services
1. INTRODUCTION. The County of Lake is inviting sealed proposals for Substance Use Disorder
Treatment Services.
Proposals should be submitted in accordance with the requirements of this solicitation, which are
contained herein.
2. SCOPE OF SERVICE.
Lake County Behavioral Health Services seeks to contract with licensed and drug medical certified
substance use disorder provider(s) to provide substance use disorder treatment services. These
services can be provided to adult and youth beneficiaries and include both non-perinatal and
perinatal services. These services include Withdrawal Management, Outpatient Drug-Free
services, Intensive Outpatient Treatment services, Narcotic Treatment Program-Methadone, and
Naltrexone Treatment services.
The American Society of Addiction Medicine (ASAM) has developed the Adult and Youth
Level of Care Designation Requirements which includes these four (4) levels of care:
ASAM 1.0: Outpatient Drug-Free
ASAM 1.0: Perinatal Outpatient Drug-Free
ASAM 2.0: Intensive Outpatient Treatment
ASAM 2.0: Perinatal Intensive Outpatient Treatment
ASAM 3.1: Clinically Managed Low-Intensity Residential Services
ASAM 3.3: Clinically Managed Population-Specific High-Intensity Residential
Services
ASAM 3.5: Clinically Managed High-Intensity Residential Services
Withdrawal Management Services are provided to individuals experiencing withdrawal in
the following outpatient and residential setting and are not considered a level of care,
rather they represent a service within one of the above identified levels of care:
Level 1-WM: Ambulatory withdrawal management without extended on-site monitoring
(Mild withdrawal with daily or less than daily outpatient supervision)
Level 2-WM: Ambulatory withdrawal management with extended on-site monitoring
(Moderate withdrawal with daytime withdrawal management and support and
supervision in a non-residential setting)
Level 3.2-WM: Clinically managed residential withdrawal management (24-hour support
for moderate withdrawal symptoms that are not manageable in outpatient setting)
Level 3.7-WM: Medically Managed Inpatient Withdrawal Management (24-hour care for
severe withdrawal symptoms requiring 24-hour nursing care and physician visits)
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Substance Use Disorder Treatment Services
Level 4-WM: Medically managed intensive inpatient withdrawal management (Severe,
unstable withdrawal requiring 24-hour nursing care and daily physician visits to modify
withdrawal management regimen and manage medical instability)
Each beneficiary will enter the appropriate level of care based on the client’s diagnosis,
treatment plan (if applicable), and medical necessity.
Level 0.5: Prevention/Early Intervention
Early intervention services are for individuals under the age of 21. Any person under the age of 21
who is screened and determined to be at risk of developing an SUD may receive any service
component covered under the outpatient level of care as early intervention services. Early
intervention services are provided under the outpatient treatment modality and must be available
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Substance Use Disorder Treatment Services
as needed based on individual clinical need, even if the member under age 21 is not participating
in the full array of outpatient treatment services.
Level 1: Outpatient Services
Level 1 is appropriate in many situations as an initial level of care for patients with less severe
disorders; for those who are in early stages of change, as a “step down” from more intensive
services; or for those who are stable and for whom ongoing monitoring or disease management is
appropriate. Adult services for Level 1 programs are provided less than 9 hours weekly, and
adolescents’ services are provided less than 6 hours weekly; individuals recommended for more
intensive levels of care may receive more intensive services based upon medical necessity.
• Setting: Outpatient services are often delivered in a wide variety of settings such as offices,
clinics, school-based clinics, primary care clinics, and other facilities offering additional treatment
or mental health programs.
• Provider Type: Appropriately credentialed and/or licensed treatment professionals, including
counselors, social workers, psychologists, and physicians (whether addiction credentialed or
generalist) deliver outpatient services, including medication and disease management services.
• Treatment Goal: Outpatient services are designed to help patients achieve changes in substance
use and addictive behaviors and often address issues that have the potential to undermine the
patient’s ability to cope with life tasks without the addictive use of alcohol, other drugs, or both.
• Therapies: Level 1 outpatient services may offer several therapies and service components,
including assessment, individual and group counseling, care coordination, medication services,
SUD crisis intervention services, motivational enhancement, family therapy, patient education,
occupational and recreational therapy, psychotherapy, MAT, recovery Services or other skilled
treatment services.
Level 2: Intensive Outpatient and Partial Hospitalization Programs
Level 2 programs provide essential addiction education and treatment components and have two
gradations of intensity. Level 2.1 intensive outpatient programs provide 9–19 hours of weekly
structured programming for adults or 6–19 hours of weekly structured programming for
adolescents. Programs may occur during the day or evening, on the weekend, or after school for
adolescents. Services may exceed maximum based on individual medical necessity.
Level 2.1: Intensive Outpatient Programs
• Setting: Intensive outpatient programs are primarily delivered by substance use disorder 7
outpatient specialty providers but may be delivered in any appropriate setting that meets state
licensure or certification requirements. These programs have a direct affiliation with programs
offering more and less intensive levels of care as well as supportive housing services.
• Provider Type: Interdisciplinary team of appropriately credentialed addiction treatment
professionals including counselors, psychologists, social workers, addiction-credentialed
physicians, and program staff, many of whom have cross-training to aid in interpreting mental
disorders and delivering intensive outpatient services.
• Treatment Goal: At a minimum, this level of care provides a support system including medical,
psychological, psychiatric, laboratory, and toxicology services within 24 hours by telephone or
within 72 hours in person. Emergency services are always available, and the program should have
a direct affiliation with more or less intensive care levels and supportive housing.
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